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Segment Reporting (Tables)
 12 Months Ended
Dec. 31, 2017
Segment Reporting [Abstract]  
Segment Reporting

 

2017

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

21,888,207

 

 

$

8,949,984

 

 

$

—

 

 

$

30,838,191

 

Gross outpatient revenues

 

$

13,115,881

 

 

$

993,409

 

 

$

—

 

 

$

14,109,290

 

Total net revenues

 

$

5,484,683

 

 

$

4,906,719

 

 

$

18,463

 

 

$

10,409,865

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

641,857

 

 

$

968,974

 

 

$

(475,822

)

 

$

1,135,009

 

Allocation of corporate overhead

 

$

(182,713

)

 

$

(158,735

)

 

$

341,448

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

459,144

 

 

$

810,239

 

 

$

(134,374

)

 

$

1,135,009

 

Total assets

 

$

3,849,214

 

 

$

6,648,818

 

 

$

263,796

 

 

$

10,761,828

 

 

2016

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

19,042,627

 

 

$

8,017,585

 

 

$

—

 

 

$

27,060,212

 

Gross outpatient revenues

 

$

11,374,098

 

 

$

902,102

 

 

$

—

 

 

$

12,276,200

 

Total net revenues

 

$

5,112,950

 

 

$

4,645,007

 

 

$

8,253

 

 

$

9,766,210

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

557,472

 

 

$

1,030,734

 

 

$

(431,848

)

 

$

1,156,358

 

Allocation of corporate overhead

 

$

(170,767

)

 

$

(154,843

)

 

$

325,610

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

386,705

 

 

$

875,891

 

 

$

(106,238

)

 

$

1,156,358

 

Total assets

 

$

3,723,075

 

 

$

6,440,195

 

 

$

154,532

 

 

$

10,317,802

 

 

2015

 

Acute Care

Hospital

Services

 

 

Behavioral

Health

Services (a.)

 

 

Other

 

 

Total

Consolidated

 

 

 

(Dollar amounts in thousands)

 

Gross inpatient revenues

 

$

16,847,944

 

 

$

7,456,397

 

 

$

—

 

 

$

24,304,341

 

Gross outpatient revenues

 

$

9,604,952

 

 

$

839,884

 

 

$

15,794

 

 

$

10,460,630

 

Total net revenues

 

$

4,632,564

 

 

$

4,400,335

 

 

$

10,552

 

 

$

9,043,451

 

Income (loss) before allocation of corporate overhead and

   income taxes

 

$

519,630

 

 

$

1,021,823

 

 

$

(395,552

)

 

$

1,145,901

 

Allocation of corporate overhead

 

$

(197,699

)

 

$

(117,203

)

 

$

314,902

 

 

$

0

 

Income (loss) after allocation of corporate overhead and

   before income taxes

 

$

321,931

 

 

$

904,620

 

 

$

(80,650

)

 

$

1,145,901

 

Total assets

 

$

3,413,879

 

 

$

5,867,088

 

 

$

334,477

 

 

$

9,615,444

 

 

 

(a)

Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $429 million in 2017, $241 million in 2016 and $203 million in 2015.  Total assets at our U.K. behavioral health care facilities were approximately $1.098 billion as of December 31, 2017, $965 million as of December 31, 2016 and $521 million as of December 31, 2015.